胸外科术后心房颤动

Taisuke Yokota
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引用次数: 0

摘要

摘要新发心房颤动是重症监护病房常见的并发症。术后心房颤动(POAF)的发生率很高,尤其是心脏手术后。与心脏手术相比,非心脏手术中发生的POAF的信息并不充分。在非心脏手术中,POAF主要发生在术后第2天,延长了住院时间,增加了死亡率。医学预防药物可有效减少POAF。在POAF发作后,使用速率控制或节律控制,但这些治疗是否真正有效尚不清楚。在围手术期处理中,POAF的发生率因肺切除手术的类型而异。术前服用他汀类药物和受体阻滞剂的患者应继续服用,POAF患者在血清镁浓度较低时应服用硫酸镁。不同研究对POAF的定义不同,存在许多不确定点。在本文中,我们讨论了POAF的流行病学,危险因素,预防措施,以及主要针对肺切除术,食管切除术和肺移植的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postoperative atrial fibrillation in thoracic surgery
④risk factors, ⑤non-cardiac surgery Abstract New-onset atrial fibrillation is a common complication in the intensive care unit. The incidence of postoperative atrial fibrillation (POAF) is high, especially after cardiac surgery. Compared with cardiac surgery, the information on POAF occurring in non-cardiac surgery is not sufficient. In non-cardiac surgery, POAF occurs mainly on the postoperative day 2, which prolongs hospital stay and increases mortality rate. Medical prophylactic agents may effectively reduce POAF. After POAF onset, rate-control or rhythm-control is used, but it is unknown whether these treatments are truly effective. In perioperative management, the incidence of POAF differs depending on the type of pulmonary resection surgery. Patients taking statins and beta-blockers before the operation should continue to take them, and patients with POAF should take magnesium sulfate when serum magnesium concentration is low. The definition of POAF differs depending on each study, and there are many uncertain points. In this paper, we discuss POAF epidemiology, risk factors, prophy-laxes, and treatments mainly for pulmonary resection, esophagectomy, and lung transplantation.
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